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Cefizox Side Effects, and Drug Interactions - Ceftizoxime
SIDE EFFECTS
Cefizox® (ceftizoxime for injection, USP) is generally well tolerated.
The most frequent adverse reactions (greater than 1 % but less
than 5%) are:
Hypersensitivity: Rash, pruritus,
fever.
Hepatic: Transient elevation
in AST (SGOT), ALT
(SGPT), and alkaline phosphatase.
Hematologic: Transienteosinophilia, thrombocytosis.
Some individuals have developed a positive
Coombs test.
Local—Injection site: Burning, cellulitis,
phlebitis with IV
administration, pain, induration,
tenderness, paresthesia.
The less frequent adverse reactions (less than 1%) are:
Hypersensitivity: Numbness and anaphylaxis
have been reported rarely.
Hepatic: Elevation of bilirubin
has been reported rarely.
Renal: Transient elevations of BUN
and creatinine have
been occasionally observed with Cefizox.
Hematologic: Anemia, including hemolytic
anemia with occasional
fatal outcome, leukopenia,
neutropenia, and
thrombocytopenia
have been reported rarely.
Urogenital: Vaginitis has occurred rarely.
Gastrointestinal: Diarrhea; nausea
and vomiting have been
reported occasionally.
Symptoms of pseudomembranous colitis
can appear during or after antibiotic treatment (see WARNINGS).
In addition to the adverse reactions listed above which have been observed in patients treated with ceftizoxime, the following adverse reactions and altered laboratory tests have been reported for cephalosporin-class antibiotics:
Stevens-Johnson syndrome, erythema multiforme, toxic epidermal necrolysis, serum-sickness like reaction, toxic nephropathy, aplastic anemia, hemorrhage, prolonged prothrombin. Several cephalosporins have been implicated in triggering seizures, particularly in patients with renal impairment, when the dosage was not reduced. (See DOSAGE ANDADMINISTRATION.) If seizures associated with drug therapy occur, the drug should be discontinued.
Anticonvulsant therapy
can be given if clinically indicated.
DRUG INTERACTIONS
Although the occurrence has not been reported with Cefizox, nephrotoxicity has been reported following concomitant administration of other cephalosporins and aminoglycosides.
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